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Boards sheet > SUPERHERO POSE > Flashcards

SUPERHERO POSE Flashcards

1
Q

Rate pressure product

A

HR x SBP

Indication of myocardial oxygen demand

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2
Q

Squat test

A

For ruling in or out a hip fracture

Pt with hip fx will report inc pain with WB

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3
Q

Psoas abscess symptoms

A

Night sweats

Low grade fever

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4
Q

Patrick test

A

Rule in or out hip joint dysfunction

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5
Q

McBurney test

A

Appendicitis
RLQ, umbilical region pain
N/V, low grade fever

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6
Q

Iliopsoas muscle test

A

Screening for psoas abscess

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7
Q

Abnormal lymph node

A

Firm, mobile, tender or nontender

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8
Q

Stenosis on the R side - what cervical motion gives most relief?

A

Flexion, L SB, L rot

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9
Q

Listers tubercle 3.37

A

EPL

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10
Q

Exopthalamus

A

GRAVES! Hyperthyroidism

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11
Q

Grip for grabbing a suitcase

A

POWER GRIP! Slight ext and ulnar deviation

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12
Q

Exercise with dyslipidemia

A

ASCM says mod intensity of 40-80% of HR reserve 5 or more times per week

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13
Q

Spastic bowel occurs with injury where

A

Above S2

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14
Q

Palpate the supraspinatus - shld in what position

A

Extension and IR

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15
Q

Legg Calve Perthes - affects what

Common gait deviation

A

hip (4.32)

Trendelenburg

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16
Q

Second degree type 1

A

Progressively lengthening PR

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17
Q

Abdominal paradoxical breathing

A

Upward and outward motion of the upper chest

Inward motion of the abdomen

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18
Q

Manual lymphatic drainage - order (4.38)

A

Decongest involved trunk quadrant before decongesting the involved limb

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19
Q

Impaired proprioception may be the result of malavsorption of which nutrient

A

Vit B12!

Dec B12 can lead to pernicious anemia which gradually affects sensory and motor nerves

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20
Q

Impaired levels of K would impact

A

mm contraction

Heart, intestines, resp tract

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21
Q

Iron deficiency can occur secondary to ___ and produce symptoms of ___

A

Can occur secondary to blood loss, malabsorption, pregnancy

Symptoms of irritability, lack of ex tolerance, HA

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22
Q

Beta blockers

A

Dec HR
Dec BP
Dec oxygen demand

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23
Q

Thiazide =

A

Diuretic

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24
Q

Adverse effect to Thiazide

A

Diuretic
Lead to enhanced secretion of Na and K in urine which leads to hyponatremia and hypokalemia
Clammy skin, hypotension = signs of hyponatremia
Dizziness and hyperventilation = signs of hypokalemia

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25
Q

Signs of hyponatremia

A

Clammy skin

Hypotension

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26
Q

Signs of hypokalemia

A

Dizziness

Hypoerventilation

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27
Q

Signs of tethered cord

A

Rapidly progressive scoliosis
Hypertonicity in LEs
Changes in gait
Changes in urologic function

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28
Q

Normal atrial pressure

A

0-8 mmHg

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29
Q

L innominate posterior rotation

A

L sulcus becomes deeper

L ASIS is more superior

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30
Q

Rubor of dependency test

A

For arterial insufficiency
Lay supine, elevate leg - positive if rapid loss of normal pink color of skin and takes a longer time (more than 30 sec) for color to return when back in starting position

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31
Q

Compression pressure for someone with venous wound

A 
SHORT stretch (high working, low resting)
40 mm Hg
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32
Q

Measuring wheel chair back height

A

Should fall below inferior angle of scapula

Measure from seat of chair to floor of axilla with pt shld flexed to 90 and then subtract 4 in from there

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33
Q

Hip position to prevent contracture after burn to anterior hip

A

Hip extension and ABDuction

Hip spica and hip abduction splints are commonly used

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34
Q

Intrinsic factors that affect wound healing

A

Hydration
Nutrition
Body composition

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35
Q

Extrinsic factor affecting wound healing

A

Maceration

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36
Q

Braden scale

A

Pressure ulcer predictor - perception, moisture, activity, mobility, nutrition, friction, shear
All scored 1 - 4 except friction and shear only scored 1 -3
Max score is 23
18 or less = need pressure ulcer prevention program

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37
Q

Bacterial agent most responsible for skin infection

A

Staph auerus

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38
Q

BMI Normal

A

18.5 - 24.9

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39
Q

Percussion test

A

Venous insufficiency
Percuss distal segment of saphenous vein while palpating proximal segment
If sense blood movement proximally, the valves are not functioning properly

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40
Q

rule of 9s not used for

A

superficial burns

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41
Q

rule of 9s - anterior right leg and foot

A

9%

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42
Q

Rule of 9s - posterior of B legs and feet

A

18%

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43
Q

Rule of 9s - anterior trunk

A

18%

44
Q

Rule of 9s - posterior arm, forearm, hand

A

4.5%

45
Q

Rule of 9s - what age does a child fit the adult rules?

A

age 9

46
Q

Rule of 9s - child under 1 yr - what happens

A

9% is taken from LEs and added to head and neck

Each yr of life 1% is distributed back to LEs until age 9 - when normal values apply

47
Q

Rule of 9s for child vs. adult

A

Head and neck is 18% and LEs are each 14%

Adult - Trunk total is 36%, 18% for each LE, 9% for each UE, 9% for head and neck, and 1% genitals

48
Q

Wagner scale

A

Ulcer grade classification (diabetic) - uses wound depth and presence of infection

0 = pre ulcerative
1 = superficial w/o subQ
2 = penetrates subQ, exposed tendon, bone, lig
3 = osteitis, osteomyelitis
4 = gangrene of digit
5 = gangrene of foot, disart
49
Q

Proliferative phase of healing =

A

Development of new tissue

2-3 days after injury, fibroblasts enter and develop new tissue which marks onset of proliferative phase

50
Q

Inflammatory phase of healing =

A

bleeding is reduced as blood vessels constrict

Infiltration of neutrophils too

51
Q

drying out or dehydration of a wound =

A

Dessication

52
Q

peeling or shedding of epidermis

A

desquamation

53
Q

abrasion =

A

rubbing or scraping of epidermal layer of skin

often due to friction btw skin and transfer surface

54
Q

excoriation

A

linear scratch on surface of skin

55
Q

induration =

A

hardening of a normally soft tissue or organ

Usually due to inflammation, infiltration of neoplasm, or accumulation of blood

56
Q

Contraindication to whirlpool

A

venous insufficiency

57
Q

medial malleolus wound

A

Venous!

58
Q

technique to temporarily relieve night pain in someone with arterial insufficiency

A

Leg in dependent position to temporarily improve circulation

59
Q

spleen - which quadrant

A

LUQ

60
Q

endocrine gland - sleep/wake cycle

A

Pineal!

61
Q

which gland produces calcitonin

A

post pituitary gland

Calcitonin lowers blood Ca levels

62
Q

in response to elevated blood glucose, the

A

pancreas secretes insulin

63
Q

Post pit gland secretes

A

Oxytocin

ADH

64
Q

gout - need to avoid

A

Food high in purine
alcohol
make sure to drink plenty of water

65
Q

Addisons disease

A

hypofunction of adrenal cortex
Dec cortisol and aldosterone
Hypotension, weakness, anorexia, altered pigmentation

66
Q

Cushings

A

Excessive cortisol

hyperfunction of adrenal gland

67
Q

Serious side effect of hyperparathyroidism

A

Increased parathyroid hormone causes Ca to leave the bone resulting in OP

68
Q

Hypoglycemic state s.s

A

Slurred speech, lack of coordination, staggering gait
Inc HR, pale, moist skin, anxiety, tremors

He iS TIRED
HA, Sweating, Tachycardic, Irritable, Restless, Excessive hunger, Dizzy

69
Q

PKU should avoid

A

foods with phenylalanine

Meats, dairy, eggs, nuts, legumes, seeds, breads, and aspartame

70
Q

Osteomalacia

A

softening of the bones
often caused by vit D deficiency
(rickets in kids - bowing of the legs)

71
Q

Paget’s disease

A

Osteitis deformans
Thickened, spongy, abnormal bone formation
Bowing of long bones, inc skull size, bone deformities, fx (usually of vertebrae)

72
Q

Metabolic syndrome - diagnosis needs

A 
at least 3 of the 5
Elevated blood glucose
Elevated BP
Elevated triglycerides
Dec HDL
Abdominal obesity (based on waist circumference)
73
Q

Common cause of metabolic alkalosis

A

HCO3 high
Excess bicarb or acid is lost
Prolonged vomiting is common cause!

74
Q

Common cause of metabolic acidosis

A

Diarrhea and renal failure

75
Q

Common cause of resp alkalosis

A

hyperventilation

76
Q

Dowager’s hump

A

kyphotic curvature of thoracic spine secondary to OP that occurs in postmenopausal women

77
Q

Class 1 drug

A

No accepted medical use in US
Hgh potential for abuse
Herroisn and LSD are exampls

78
Q

Biophosphonates are used for

A

OP

79
Q

Allupurinol used to treat

A

gout

80
Q

Airborne precautions

A 
private room with negative air pressure
6-12 air changes within room per hour
Room door closed 
Resp protection worn when enter room 
Limit pt transportation outside the room
81
Q

Examples of need for airborne precautions

A

TB
Varicella
Measles

82
Q

Droplet precautions

A 
Private room
Maintain at least 3 ft btw pt and any contact 
Room door can be open
Wear mask
Limit transport out of room
83
Q

Droplet precuation examples

A

Influenza
Neisseria meningitis
Pneumonia

84
Q

Contact precautions

A

Private room
Gown and gloves when entering room
Take gloves off prior to leaving room and perform hand washing
Limit pt leaving room

85
Q

Nosocomial infection =

A

Acquired during hospital stay

86
Q

Min for hand washing

A

30 sec

87
Q

Every ramp should have ____ of horizontal run for every ___ of vertical rise

A

Should have 12 inches of horizontal run for each inch of vertical rise
equivalent to a 8.3% grade

88
Q

A ramp should be a min of ___ inches wide

A

36 inches wide!

89
Q

Ramp needs a rail if

A

rise is greater than 6 in and run is longer than 72 inches

90
Q

If a ramp changes directions, the landing area should be at least

A

5 feet by 5 feet

60 in x 60 in

91
Q

Doorway width - accessibility

A

min 32 in

92
Q

Carpet - accessibiity - requires ____ pile or less

A

1/2 inch pile or less

93
Q

Hallway has to be what width

A

36 in in width

94
Q

Wheelchair turning radius needed - accessibilityy

A

60 in wide

78 in long

95
Q

Bathroom - grab bars - accessibility -

A

1.25 to 1.5 inches in diameter
1.5 in space btw grab bar and wall
placed 33-36 in above the floor level

96
Q

Crutches - fitting

A

Base of crutch should be placed 6 in anterior and 2 in lateral
Crutch height should be no greater than 3 finger widths (2 in) from axilla
Allow for 20-25 deg of elbow flex

97
Q

Medial sole flare is used to resist

A

Eversion

98
Q

What reduces joint compression when walking in waist high water

A

Buoyancy

99
Q

Effects of hydrostatic pressure

A

Inc venous return
Dec HR for a given workload
Dec edema
Dec WB

100
Q

Positive sharp waves with EMG can be indicative of

A

Muscular dystrophy

101
Q

Abnormality with EMG associated with LMN

A

Fibrillations

102
Q

Electrode size and impedance

A

Large electrode size - dec impedance

Small electrode size - inc impedance

103
Q

Large electrode size - current density and flow

A

Large electrode size = inc current density

Dec current flow

104
Q

The farther apart the electrodes are placed the ___ the current travels

A

Deeper!

105
Q

Intermittent compression for LE vs UE

A

LE 80-90

UE 40-60

106
Q

In general, to avoid cardiac complication, the pressure with intermittent comp device should always be lwoer than

A

systolic pressure!

Boards sheet (13 decks)

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